| NPI | 1952636045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIE B OLIVER Owner 912-281-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: GA LPC005208) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |